location
search-icon
institution
Fairlawn Behavioral Associates Llc
Prescribing (Medical) Psychologist in Fair Lawn, New Jersey
NPI 1861876419

Fairlawn Behavioral Associates Llc is a Prescribing (Medical) Psychologist based in Teaneck, NJ and is specialized in Prescribing (Medical). Fairlawn Behavioral Associates Llc practices in Fair Lawn, NJ. The NPI Number for Fairlawn Behavioral Associates Llc is 1861876419 and holds a License No. 25MA6506500 (New Jersey).

The current practice location address for Fairlawn Behavioral Associates Llc is 15-01 Broadway, Fair Lawn, NJ and can be reached out via phone at 201-342-4004 and via fax at 201-342-4008.

Location: 15-01 Broadway, Fair Lawn, NJ, 07666-0809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861876419
Provider Name
Fairlawn Behavioral Associates Llc
Credential
Provider Entity Type
Organization
Address
15-01 Broadway, Fair Lawn, NJ, 07666-0809
Phone Number
201-342-4004
Fax Number
201-342-4008
Provider Enumeration Date
07/14/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7492201 05 NJ
institution
Provider Business Practice Location Address Details
Address
15-01 Broadway
City
Fair Lawn
State
New Jersey
Zip
07410-6003
Phone Number
201-342-4004
Fax Number
201-342-4008
person
Provider Business Mailing Address Details
Address
15-01 Broadway
City
Fair Lawn
State
New Jersey
Zip
07410-6003
Phone Number
201-342-4004
Fax Number
201-342-4008
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
25MA6506500 (New Jersey)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.